Anderson Danyon J, Kasson Matthew, Patel Mit, Li Nathan, Langenstroer Peter
School of Medicine, Medical College of Wisconsin, Wauwatosa, USA.
Urology, Medical College of Wisconsin, Wauwatosa, USA.
Cureus. 2021 Jun 4;13(6):e15450. doi: 10.7759/cureus.15450. eCollection 2021 Jun.
Erosion of metal surgical staples is a rare but described surgical complication. Staple erosion in a bladder may present with hematuria, urinary tract infection (UTI), bladder pain, or fistula. We present a 64-year-old male with a history of urothelial carcinoma treated by cystoprostatectomy with neobladder reconstruction. Over the next two to three years, he developed hematuria and had multiple urine cytologies suspicious for cancer. The cystoscopic evaluation revealed staple line erosion but no cancer. We believe this to be the first published case of symptomatic staple erosion in a neobladder. Clinicians should be aware that staple line erosion in a neobladder can occur and mimic malignancy recurrence.
金属外科吻合钉侵蚀是一种罕见但已被描述的手术并发症。膀胱内的吻合钉侵蚀可能表现为血尿、尿路感染（UTI）、膀胱疼痛或瘘管。我们报告一例64岁男性，有尿路上皮癌病史，接受了膀胱前列腺切除术并进行了新膀胱重建。在接下来的两到三年里，他出现了血尿，多次尿液细胞学检查怀疑有癌症。膀胱镜检查显示吻合钉线侵蚀，但未发现癌症。我们认为这是首例关于新膀胱出现有症状的吻合钉侵蚀的报道病例。临床医生应意识到新膀胱中的吻合钉线侵蚀可能发生，并酷似恶性肿瘤复发。
